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ZACHARY SAMUEL GORDON
NPI 1912609322
Counselor - Professional in Rosedale, MD

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zachary Samuel Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY SAMUEL GORDON (NPI 1912609322) is an individual professional provider in Rosedale, Maryland, licensed in Maryland (LC16725) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912609322
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameZACHARY SAMUEL GORDON
Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157
Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203
Phone(410) 780-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1912609322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC16725
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LGP13497 (MD)
9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Samuel Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426553744
PECOS Enrollment IDI20250926000465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Zachary Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Behavioral Health, LLC
Same address
Community/Behavioral Health
9627 PHILADELPHIA RD STE 160
Rosedale, MD 21237
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group
NPI 1053733378 (410) 780-5203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONNETTE MCPHERSON
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (443) 469-5138
ADRIAN LEE STACKHOUSE
Social Worker (Clinical)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AMBER DUKES LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AYREL J FUNDERBURK
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
ABBIGALE ELIZABETH BOEHL
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
CAROLINE ELIZABETH MOLLENAUER
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
GRACE OMENYI LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
IESHA FELTON WATERS LCPC
Counselor (Professional)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Gordon's NPI number?

The NPI number for Zachary Gordon is 1912609322. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Zachary Gordon located?

Zachary Gordon practices at 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237. The listed phone number is (410) 780-5203.

What is Zachary Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Zachary Gordon enrolled in Medicare?

Yes. Zachary Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Zachary Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Gordon reassigns Medicare benefits to Thrive Behavioral Health, LLC (Rosedale, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Zachary Gordon was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.